Nursing Women
Conditions
Keywords
human milk, polyunsaturated fatty acids, linolenic acid, rapeseed oil
Brief summary
We propose to measure the LCPUFA human milk (linolenic acid, linoleic acid, docosahexaenoic acid, arachidonic acid) according to fatty acids nature and quantities consumed by lactating women
Detailed description
n-3 and n-6 long chain polyunsaturated fatty acids (LCPUFA) are essential particularly to neurodevelopment of newborn infants. Many variations in essential PUFA and LCPUFA content of human milk are observed according to countries and dietary habits of the mothers. Maternal diet supplementation of LCPUFA of lactating women may increase LCPUFA human milk according to consensus recommendations. This clinical trial is performed to evaluate the effect of different of consumption of n-3 fatty acids (linolenic acid) in different forms (oils or margarine) in the human milk composition. Each diet will last 30 days. During the first period of 15 days, the mothers will receive mediterranean diet based on olive oil. Then, lactating women will be randomised into four groups : one group will receive olive oil (standard group), one group supplemented in rapeseed oil, one group with n-3 margarine and one group with diet associating rapeseed oil and n-3 margarine.Human milk will be collected during the first breastfeeding of the day (10 ml) at three times : Days 0 corresponding to the usual diet , at day 15 after the Mediterranean diet and at day 30, after the study diet.
Interventions
Each diet will last 30 days. During the first period of 15 days, the mothers will receive mediterranean diet based on olive oil. Then, lactating women will receive 30gr/day rapeseed oil. Human milk will be collected during the first breastfeeding of the day (10 ml) at three times : Days 0 corresponding to the usual diet , at day 15 after the Mediterranean diet and at day 30, after the study diet.
Sponsors
Study design
Eligibility
Inclusion criteria
* Lactating women more than 1 month and less than 4 month with neonate whom term is between 37 and 42 gestational age * Women who agree to consume fatty fish two times per week * Free consent
Exclusion criteria
* Women with multiple infants * Chronic treatments more than 8 days * Women with treatment during supplementation period * Women with maternal pathology not compatible with breastfeed
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acide linolenic 18 :3 n-3 analysis measured at day 30, compared to day 15 | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Analysis of linolenic acid and linoleic acid ratio | 30 days |
| Analysis of arachidonic acid, docosahexanoic acid and their ratio | 30 days |
| Comparison of fatty acid composition of human milk before and after supplementation | 30 days |
| Analysis of trans fatty acids according diets | 30 days |
Countries
France
Contacts
University Hospital Bordeaux (France)